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睡眠呼吸暂停与阿尔茨海默病的性别差异:脑血管功能障碍的作用。

Sex differences in sleep apnea and Alzheimer's Disease: role of cerebrovascular dysfunction.

作者信息

Greenlund Ian M, Barnes Jill N, Baker Sarah E, Somers Virend K, Bock Joshua M

机构信息

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN USA.

Bruno Balke Biodynamics Laboratory, Department of Kinesiology, University of Wisconsin-Madison, Madison, WI USA.

出版信息

NPJ Womens Health. 2025;3(1):27. doi: 10.1038/s44294-025-00076-w. Epub 2025 May 5.

Abstract

Obstructive sleep apnea (OSA) significantly impacts cardiovascular health in post-menopausal females. Given that cardiovascular and cerebrovascular diseases are tightly linked, OSA-mediated impacts on cerebrovascular function and Alzheimer's Disease (AD) risk are also likely more manifest in females. This review will: summarize sex differences in cerebrovascular function, review the vascular hypothesis of AD, characterize sex differences in the OSA phenotype and implications for cerebrovascular control, and highlight OSA-mediated AD risk.

摘要

阻塞性睡眠呼吸暂停(OSA)对绝经后女性的心血管健康有显著影响。鉴于心血管疾病和脑血管疾病紧密相关,OSA对脑血管功能和阿尔茨海默病(AD)风险的影响在女性中可能也更为明显。本综述将:总结脑血管功能的性别差异,回顾AD的血管假说,描述OSA表型的性别差异及其对脑血管控制的影响,并强调OSA介导的AD风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb68/12052590/393ae5f2c10d/44294_2025_76_Fig1_HTML.jpg

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